Bullock, Richard Barry

Bullock, Richard Barry is an individual health care provider with primary practice located at 225 May Street Suite E, Edison NJ 08837. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Bullock, Richard Barry can be contacted via phone (732) 661-2020.

Contact Information

Primary practice address
225 May Street Suite E Edison NJ 08837
Phone: (732) 661-2020
Fax: (732) 661-2022
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 25MA04808400 New Jersey
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA04808400 New Jersey

Profile Details

NPI number 1093704355
LBN Legal business name Bullock, Richard Barry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
Last updated Jun 9th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093704355 NPPES
New Jersey MEDICAID 0468801

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